Weighted Capitation (Hansard, 20 December 1994)

§ Mr. Bayley
To ask the Secretary of State for Health if she will supplement the information which she provided to the Health Select Committee, which was published as table 8.3 to the Committee's first special report in the 1993–94 Session, by specifying(a) the cash allocation and (b) the weighted capitation target figure in cash terms for each district health authority in 1994–95; and if she will also specify a notional weighted capitation target figure for 1994–95 for each English district health authority calculated on the basis of the modified formula described in annex 1 to the NHS executive's recent publication "HCHS Revenue Resource Allocation: Weighted Capitation Formula".

§ Mr. Sackville
Some figures have changed from those provided in table 8.3 following the receipt of amended data from regional health authorities. A revised table including the information requested will be placed in the Library.
There are no operational reasons for calculating notional 1994–95 capitation targets for district health authorities on the basis sought.

§ Mr. Bayley
To ask the Secretary of State for Health (1) if she will specify the HCHS weighted capitation target figure in cash terms for each English district health authority in 1995–96 on the basis of the capitation formula described as(a) current and (b) modified in annex 1 to NHS executive booklet "HCHS Revenue Resource Allocation: Weighted Capitation Formula", published this autumn;
(2) what cash allocation would be made to each English district health authority, including allocations to general practitioners fundholding practices in its area, in 1995–96 on the assumption that regional health authorities disburse their 1995–96 HCHS revenue allocations on the basis of the same percentage increase for each district health authority.

§ Mr. Sackville
For 1995–96 it is for regional health authorities to determine weighted capitation targets, including the formula used, and allocations for each of their districts. Similarly, the hypothetical figures sought on cash allocations can be calculated only by regional health authorities.
When the regional health authorities have determined hospital and community health services revenue allocations and capitation targets for their districts in 1995–96, we will undertake an exercise to collect this information in a comparable format.

§ Mr. Bayley
To ask the Secretary of State for Health if she will specify in cash terms the 1995–96 HCHS weighted capitation targets for each health region calculated on the capitation formula described as(a) current and (b) modified in annex 1 to the NHS executive's recent publication "HCHS Revenue Resource Allocation: Weighted Capitation Formula", in a form that is compatible with the 1995–96 HCHS revenue allocations to regions announced on 6 December.

§ Mr. Sackville
The modified targets referred to are shown in the table.
1153W
Capitation targets on the basis of the current formula are not available as there are no operational reasons for these to be calculated.

Regional health authority 1995–96 Weighted capitation target £000s

Northern and Yorkshire 3,150,160

Trent 2,191,435

Anglia and Oxford 2,236,531

North Thames 3,499,064

South Thames 3,383,899

South and West 2,946,094

West Midlands 2,399,624

North West 3,217,091

England 23,023,897

§ Mr. Bayley
To ask the Secretary of State for Health if she will place in the Library a paper explaining the data and calculations used to determine the weightings for each zone mentioned in table 5 of the NHS executive's recent publication "HCHS Revenue Resource Allocation Weighted Capitation Formula".

§ Mr. Sackville
Yes.

§ Mr. Bayley
To ask the Secretary of State for Health what percentage increase or abatement(a) the three Thames adjustments, London weighting, Thames market forces factor and the Thames 3 per cent. and 1 per cent. supplements, and (b) the new all-embracing market forces factor described in the NHS executive's recent publication "HCHS Revenue Resource Allocation Weighted Capitation Formula" have on the HCHS revenue allocation to each (i) regional health authority and (ii) district health authority in England.

§ Mr. Sackville
The table shows:

(i) the affect in percentage terms of the Thames adjustments, London weighting and the Thames supplements used to calculate revenue capitation shares in 1994–95 and

(ii) the effect of the market forces factor used to calculate integrated—revenue and capital charges—weighted capitation shares in 1995—96.

It is for regional health authorities to make allocations to district health authorities and information on market factors to inform DHA targets is not available centrally.

RHA Percentage

1995–96

Northern and Yorkshire -4.43

Trent -4.63

Anglian and Oxford -0.40

North Thames 10.95

South Thames 7.43

South and West -2.52

West Midlands -4.27

North West -4.03

1994—95

Nothern -3.32

Yorkshire -3.32

Trent -3.32

East Anglian -3.32

N W Thames 9.65

N E Thames 11.91

S E Thames 6.15

S W Thames 6.44

Wessex -3.32

1154W

RHA Percentage

Oxford -3.16

South Western -3.32

West Midlands -3.32

Mersey -3.32

North Western -3.32

Regional health authority	1995–96 Weighted capitation target £000s
Northern and Yorkshire	3,150,160
Trent	2,191,435
Anglia and Oxford	2,236,531
North Thames	3,499,064
South Thames	3,383,899
South and West	2,946,094
West Midlands	2,399,624
North West	3,217,091
England	23,023,897

RHA	Percentage
1995–96
Northern and Yorkshire	-4.43
Trent	-4.63
Anglian and Oxford	-0.40
North Thames	10.95
South Thames	7.43
South and West	-2.52
West Midlands	-4.27
North West	-4.03
1994—95
Nothern	-3.32
Yorkshire	-3.32
Trent	-3.32
East Anglian	-3.32
N W Thames	9.65
N E Thames	11.91
S E Thames	6.15
S W Thames	6.44
Wessex	-3.32

RHA	Percentage
Oxford	-3.16
South Western	-3.32
West Midlands	-3.32
Mersey	-3.32
North Western	-3.32